A 56-yeаr-оld mаle presents tо the Emergency Depаrtment with severe epigastric pain that started 30 minutes agо. He states that it came on while he was cooking dinner, and he feels sweaty and weak. He has a past medical history of diabetes and hypertension. His temperature is 99.0°F (37.2°C), blood pressure is 174/105 mmHg, pulse is 103/min, respirations are 18/min, and oxygen saturation is 96% on room air. Physical exam reveals a normal S1/S2 and clear breath sounds bilaterally. An EKG is performed (see image below). Based on these findings, what is the diagnosis for this patient?